Provider Demographics
NPI:1215619499
Name:NORTH COUNTY TRANSIT SERVICES
Entity type:Organization
Organization Name:NORTH COUNTY TRANSIT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANAERIO
Authorized Official - Middle Name:LACIANA
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-718-8671
Mailing Address - Street 1:4015 GREENGRASS DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-6640
Mailing Address - Country:US
Mailing Address - Phone:314-718-8671
Mailing Address - Fax:
Practice Address - Street 1:4015 GREENGRASS DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-6640
Practice Address - Country:US
Practice Address - Phone:314-718-8671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)